Sidney Fleecs, S, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-1572 Issued in WY

Practice address

10 Moulton LN
Victor, ID 83455-4932

Phone

(303) 907-7967

NPI assigned

May 26, 2020

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WY2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Excel Physical Therapy LLCGroup PAC ID 0345242178, 9 clinicians

Wind River Family and Community Healthc CareGroup PAC ID 1850683780, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Physical Therapy, LLC

  • Physical Therapist
  • Jackson, WY
  • NPI 1356414684
  Medicare reassignment Care Compare group NPD
• Wind River Family & Community Healthc Care

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1285006379

  Case Manager/Care Coordinator, TX

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1629691670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOULTON LN",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834554932",
            "telephone_number": "303-907-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MOULTON LN",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834554932",
            "telephone_number": "303-907-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEECS",
        "first_name": "SIDNEY",
        "credential": "S, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmer Raymond Cherry IV, D.D.S
• Childs Play, LLC
• Ann Katherine Cowley, PT
• James K Davis, DC
• Devin Delaney, NTP, RWP
• Nathan Richard George, D.D.S.
• Grand Teton Dental Care
• Kimberly Richardson Gutierrez, M.A., CCC/SLP
• Olivia Handyside, SLP
• Happy to Help Caregiving

• Occupational Therapist in Victor, ID
• Providers in Victor, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.